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Article
December 1941

REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; SAN FRANCISCO; MEXICO, MEXICO; SEATTLE; NEW YORK; ROCHESTER, MINN.; BERNE, SWITZERLAND; CHICAGO

Arch Surg. 1941;43(6):1094-1149. doi:10.1001/archsurg.1941.01210180163007
Abstract

KIDNEY 

Surgical Procedures.  —Rolnick and Singer1 discuss contralateral massive collapse of the lung after operation on the kidney. This condition is rarely fatal and therefore often overlooked, particularly when minor degrees of involvement are present. If atelectasis persists for several days, it may be followed by infection of a mild pneumonic type, and then true postoperative pneumonia may be simulated.This condition is often diagnosed as postoperative pneumonia because of the cyanosis, dyspnea and considerable increase of temperature above normal that almost invariably accompany atelectasis.Atelectasis may follow any operative procedure, but it occurs most frequently after operation on the upper part of the abdomen. The direct etiologic factor is the accumulation of mucus and the retention of it within the bronchi followed by the formation of a mucous plug which blocks one or more bronchi.Atelectasis may follow any type of anesthesia—inhalation, local or spinal. It also occurs

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